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Individual

UKACHI DANIEL ESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
229 WASHINGTON BLVD S, LAUREL, MD 20707-4615
(240) 050-9350
Mailing address
229 WASHINGTON BLVD S, LAUREL, MD 20707-4615
(240) 050-9350

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R215967
MD

Other

Enumeration date
03/08/2024
Last updated
03/08/2024
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